童年的回声：童年的善意和负面经历如何塑造成人的心理健康

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-16 DOI:10.1016/j.chiabu.2025.107308

Kamrun Nahar, Sabrina Mousum, Marium Salwa, Khandakar Fatema, Taslima Chowdhury, Anika Tasnim, Md Maruf Haque Khan, M Atiqul Haque

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引用次数: 0

摘要

18岁之前的童年不利和有利的经历对成年人的心理健康有持久的影响。目的探讨善意童年经历（bce）对不良童年经历（ace）与成人晚年不良心理健康结局（抑郁、焦虑、压力）之间关系的调节作用。这项横断面研究于2021年9月至2022年3月在孟加拉国Raiganj Upazila的Dhangara Union对384名年龄≥40岁的成年人进行了研究。方法采用半结构化问卷对随机抽取的家庭进行面对面访谈。采用SPSS和R软件进行分析和绘图。结果绝大多数（95.6%）的患者经历过不同类型的ace，其中20.5%的患者经历过4次ace， 31.7%的患者经历过全部10次ace。ace与抑郁（b = 0.761, p = 0.001）、焦虑（b = 0.740, p = 0.0003）、压力（b = 0.812, p = 0.0003）存在显著相关。交互作用表明，bce对ace与抑郁（b = - 0.35, p = 0.009）、焦虑（b = - 0.27, p = 0.009）和压力（b = - 0.30, p = 0.018）症状的关系具有调节作用。Johnson-Neyman区域显著性证明bce的调节作用达到一定阈值(抑郁= 8.91,p = 0.05；焦虑= 9.04,p = 0.05；应力= 8·97,p = 0.05)。超过这个阈值，没有观察到明显的变化，这表明bce的缓冲作用是有限的。结论我们的研究结果表明，超过一定阈值，ace的影响就会对bce的进一步缓解产生抗性，从而导致不良的心理健康结局。因此，必须通过制定有针对性的干预措施和政策来促进更健康的童年经历。

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Childhood echoes: How benevolent and adverse childhood experiences shape adult mental well-being

Background

Childhood adverse and favorable experiences before the age of 18 have enduring effects on an adult's mental health.

Objective

We investigate the moderating effect of benevolent childhood experiences (BCEs) on the link between adverse childhood experiences (ACEs) and poor mental health outcomes (depression, anxiety, stress) in an adult's later life.

Participants and setting

This cross-sectional study was conducted among 384 adults aged ≥40 years from September 2021 to March 2022 at Dhangara Union of Raiganj Upazila, Bangladesh.

Methods

Face-to-face interviews were conducted in randomly selected households using a semi-structured questionnaire. Analysis and plots were generated using SPSS and R software.

Results

Most of the respondents (95·6 %) experienced different types of ACEs, 20·5 % reporting >4 ACEs, and 31·7 % reporting all ten BCEs. Significant associations were found between ACEs and depression (b = 0.761, p = 0·001), anxiety (b = 0.740, p = 0·0003), stress (b = 0.812, p = 0·0003). The interactions showed that BCEs have moderating effect on the relationship between ACEs and depression (b = −0·35, p = 0·009), anxiety (b = −0·27, p = 0·009), and stress (b = −0·30, p = 0·018) symptoms. The Johnson-Neyman region of significance evidenced that the moderating effect of BCEs was significant up to a certain threshold (depression = 8·91, p = 0·05; anxiety = 9·04, p = 0·05; stress = 8·97, p = 0·05). Beyond this threshold, no significant change was observed, suggesting a limit to the buffering effect of BCEs.

Conclusions

Our findings suggest that beyond a certain threshold, the effects of ACEs become resistant to further mitigation by BCEs, resulting in poor mental health outcomes. So, it is essential to promote healthier childhood experiences by developing targeted interventions and policies.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.